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A nurse is reinforcing teaching with a client who has a new prescription for a ketoconazole cream. Which of the following instructions should the nurse include?
- A. Apply a thick layer to the affected area.
- B. Cover the area with an occlusive dressing.
- C. Apply the cream to wet skin.
- D. Use the cream sparingly.
Correct Answer: D
Rationale: Using ketoconazole cream sparingly ensures effective treatment of fungal infections while minimizing irritation.
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A nurse is reinforcing teaching with a client who has a new prescription for a progesterone injection. Which of the following instructions should the nurse include?
- A. Inject into the thigh.
- B. Rotate injection sites.
- C. Store the medication in the refrigerator.
- D. Massage the site after injection.
Correct Answer: B
Rationale: Rotating injection sites for progesterone injections prevents tissue irritation and ensures consistent absorption.
A nurse is reinforcing teaching with a client who is scheduled for a HIDA scan. Which of the following instructions should the nurse include?
- A. Fast for 4 hours before the scan.
- B. Avoid dairy products after the scan.
- C. Expect general anesthesia.
- D. Remove all clothing during the scan.
Correct Answer: A
Rationale: Fasting for 4 hours before a HIDA scan ensures accurate imaging of gallbladder function.
A nurse is caring for an adolescent who states, 'I joined the track and field team, so I won't argue with my brothers anymore.' The nurse should identify that the client is using which of the following defense mechanisms?
- A. Denial
- B. Sublimation
- C. Regression
- D. Repression
Correct Answer: B
Rationale: Sublimation is correct. Sublimation is the process of channeling unacceptable impulses (such as frustration or aggression) into socially acceptable activities (such as sports or creative pursuits). By joining the track and field team instead of arguing with his brothers, the adolescent is redirecting energy into a positive outlet.
A nurse is reinforcing teaching with a client who is scheduled for an esophageal manometry. Which of the following instructions should the nurse include?
- A. Fast for 6 hours before the procedure.
- B. Avoid drinking water after the procedure.
- C. Expect general anesthesia.
- D. Take a sedative before the test.
Correct Answer: A
Rationale: Fasting for 6 hours before an esophageal manometry ensures accurate measurement of esophageal pressure without interference from food or liquid.
A nurse is caring for a client who has a new diagnosis of diverticulitis. Which of the following dietary recommendations should the nurse make?
- A. Increase fiber intake.
- B. Limit fluid intake.
- C. Avoid whole grains.
- D. Reduce protein intake.
Correct Answer: A
Rationale: Increasing fiber intake helps prevent constipation and promotes bowel regularity, reducing diverticulitis flare-ups.